Individual provider Active NPI

Alex Michael Hennessey, M.D.

  • Urology Physician
  • Danbury, CT
National Provider Identifier
1811350424
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
67394 Issued in CT
Practice address
51-53 Kenosia Ave
Danbury, CT 06810-2304
Phone
(203) 748-0330
NPI assigned
Mar 31, 2016
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 67394 CT Primary

Addresses

Primary practice location

51-53 Kenosia Ave
Danbury, CT 06810-2304

Mailing address

51-53 Kenosia Ave
Danbury, CT 06810-2304

Other practice location 1

70 Main St
Danbury, CT 06810-7832
Phone (203) 739-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401002061 CT Practitioner - Urology 6507150612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Connecticut School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Danbury, PCGroup PAC ID 3971494782, 13 clinicians

Practice addresses (Care Compare)

51 -53 Kenosia Ave
Danbury, CT 06810-2304
Phone (203) 748-0330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67394CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Aug 22, 2023 Accepting new patients
Danbury Hospital CurrentSince Aug 22, 2023 Accepting new patients
Urology Associates of Danbury PC Urology CurrentSince Apr 1, 2021 Accepting new patients

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

51-53 Kenosia Ave
Danbury, CT 06810
Phone (203) 748-0330

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

73 Sand Pit Rd
Ste 204
Danbury, CT 06810
Phone (203) 212-8000

Interoperability endpoints

  • Direct secure messaging: alex.hennessey@uaod.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1811350424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102304",
            "telephone_number": "203-748-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107832",
            "country_code": "US",
            "telephone_number": "203-739-6999",
            "fax_number": "203-739-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "ALEX",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "67394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.